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NPI Code Detail

MEDICARE: DONALD MITCHELL M.D.

MEDICARE: DONALD MITCHELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianL4574TX

General Provider Information

NPI Number : 1861497794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD MITCHELL M.D.
Provider Business Mailing Address
First Line : 4916 OVERTON PLZ
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4415
Country : US
Telephone Number : 888-804-3000
Fax Number : 817-877-0350
Provider Business Practice Location Address
First Line : 4100 INTERNATIONAL PLZ
Second Line : SUITE 600
City : FORT WORTH
State : TX
Zip : 76109-4820
Country : US
Telephone Number : 888-804-3000
Fax Number : 817-877-0350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 11/08/2012

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